Daily salbutamol in young patients with SMA type II

被引:86
作者
Pane, Marika [1 ]
Staccioll, Susanna [1 ]
Messina, Sonia [1 ,2 ]
D'Arnico, Adele [3 ]
Pelliccioni, Marco [1 ,4 ]
Mazzone, Elena S. [1 ]
Cuttini, Marina [5 ]
Alfieri, Paolo [1 ]
Battinif, Roberta [6 ,7 ]
Main, Marion [8 ]
Muntoni, Francesco [8 ]
Bertini, Enrico [3 ]
Villanova, Marcello [9 ]
Mercuri, Eugenio [1 ]
机构
[1] Univ Cattolica Sacro Cuore, Dept Paediat Neurol, I-00168 Rome, Italy
[2] Univ Messina, Dept Neurosci Psychiat & Anaesthesiol, I-98100 Messina, Italy
[3] Bambino Gesu Pediat Hosp, Mol Med Unit, Dept Lab Med, Rome, Italy
[4] Unione Italiana Lotta Distrofia Muscolare, UILDM, Rome, Italy
[5] Bambino Gesu Pediat Hosp, Epidemiol Unit, Rome, Italy
[6] Univ Pisa, Unit Child Neurol & Psychiat, I-56100 Pisa, Italy
[7] IRCCS, San Giovanni Rotondo, Italy
[8] UCL, Inst Child Hlth, Dubowitz Neuromuscular Ctr, London, England
[9] Nigrisoli Hosp, Bologna, Italy
基金
英国医学研究理事会;
关键词
spinal muscular atrophy; salbutamol; therapy; children; beta; 2; agonists;
D O I
10.1016/j.nmd.2008.05.004
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The aim of this open pilot study was to establish the profile of tolerability and clinical response of salbutamol (albuterol) in a cohort of young children affected by type II spinal muscular atrophy (SMA). Twenty-three children between 30 months and 6 years of age were treated with salbutamol (2 mg three times a day) for 1 year. All children were longitudinally assessed using the Hammersmith motor functional scale 6 months before treatment started (T0), at baseline (T1) and 6 and 12 months later. There was no significant change in function between T0 and T1 assessments, but the functional scores recorded after 6 and 12 months of treatment were significantly higher than those recorded at baseline (p = 0.006). Our results suggest that salbutamol may be beneficial to SMA patients without producing any major side effect. Larger prospective randomized, double-blind, placebo controlled trials are needed to confirm these preliminary findings. (c) 2008 Elsevier B.V. All rights reserved.
引用
收藏
页码:536 / 540
页数:5
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